Draft proposed programme budget 2016–2017: Presentation for regional committees
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Presented at the 64th session of the WHO Regional Committee for Europe, on 15 September 2014.
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Draft proposed programme budget 2016–2017: Presentation for regional committees
- 1. Draft proposed programme budget 2016–2017 Presentation for regional committees 105th Consultation of WHO Representatives and Country Liaison Officers 16 – 17 November 2013, Manila, Philippines
- 2. 2 | 11 September 2014 Purpose To seek input and guidance from Member States in relation to programme emphasis and budget allocations
- 3. Background Member States requested that the programme budget for 2016–2017 be based on: • robust bottom-up priority setting • clear roles and responsibilities • realistic costing of outputs 3 | 11 September 2014 within the broader context of WHO reform
- 4. Starting points • Twelfth General Programme of Work • Builds on programme budget for 2014–2015, including implementation and continuation of commitments • Stable budget: will continue to be around US$ 4 billion 4 | 11 September 2014
- 5. • More focused technical cooperation through bottom-up identification of priorities at the country level • Clearer reflection of roles and responsibilities of each of the three levels of WHO • Better alignment of the work of each of the levels through the category and programme-area networks 5 | 11 September 2014 Enhancements
- 6. Programme emphasis in 2016–2017 • Overall direction set by strategic priorities in Twelfth General Programme of Work • Examples of changes in programme emphasis: • ensuring all obligations under the International Health Regulations (IHR) (2005) are met • strengthening regulatory capacity and information and evidence on health systems • continuing to increase investment in ending preventable maternal, newborn and child deaths • ensuring global action to address antimicrobial resistance 6 | 11 September 2014
- 7. Budget overview 7 | 11 September 2014 Proposed programme budget 2016–2017 by category (US$ million) Category 2012–2013 implementation 2014–2015 approved budget* 2016–2017 proposed % change 14–15 current to 16–17 proposed 1. Communicable diseases 793.7 840.8 764.9 −9 2. Noncommunicable diseases 234.6 317.9 335.3 5 3. Promoting health through the life-course 365.3 388.5 404.4 4 4. Health systems 505.5 531.1 556.8 5 5. Preparedness, surveillance and response 250.5 310.0 324.3 5 6. Corporate services/enabling functions 590.4 684.0 686.6 0 Subtotal base 2 740.0 3 072.3 3 072.3 0 Emergencies Poliomyelitis (polio) 815.8 965.9 ** 894.5 −7 Outbreak and crisis response (OCR) 295.4 223.0 204.5 −8 Subtotal emergencies 1 111.2 1 188.9 1 099.0 −8 Total 3 851.2 4 261.2 4 171.3 −2 * Programme budget 2014–2015 approved by the World Health Assembly as of May 2014. ** This is the initial estimate from the Global Polio Eradication Initiative (GPEI) for 2016–2017, for further review.
- 8. Budget overview Major office 8 | 11 September 2014 Summary of budget proposals by major office (US$ million) 2012–2013 implementation 2014–2015 approved budget* 2016–2017 proposed % change 14–15 current to 16–17 proposed Africa 610.3 687.1 687.1 0 Americas 120.8 164.9 164.9 0 South-East Asia 231.0 265.2 265.2 0 Europe 198.1 218.0 218.0 0 Eastern Mediterranean 266.8 275.1 275.1 0 Western Pacific 246.2 263.1 263.1 0 Headquarters 1 066.8 1 198.9 1 198.9 0 Subtotal base 2 740.0 3 072.3 3 072.3 0 Polio 815.8 965.9 **894.5 −7 OCR 295.4 223.0 204.5 −8 Subtotal emergencies 1 111.2 1 188.9 1 099.0 −8 Total 3 851.2 4 261.2 4 171.3 −2 * Programme budget 2014–2015 approved by World Health Assembly as of May 2014. ** This is the initial estimate from the Global Polio Eradication Initiative (GPEI) for 2016–2017, for further review.
- 9. • Budget for 2016–2017 reflects the estimated resources required to achieve priority outputs across the three levels of the Organization • Result of a bottom-up process • Stable over the period covered by Twelfth General Programme of Work 9 | 11 September 2014 Budget overview
- 10. • Ensure alignment of bottom-up priorities with global and regional commitments and targets • Identify, further elaborate and develop means of managing cross-cutting issues (such as such as antimicrobial resistance and gender, equity and human rights) • Refine estimates of output cost, based on detailed resource requirements for staff and activities • Reflect further the programmatic and budgetary implications of recent World Health Assembly resolutions 10 | 11 September 2014 Further work
- 11. • Updated draft will be presented to the Executive Board in January 2015, taking account of input from the regional committees • Final draft will be presented for approval to the Health Assembly in May 2015 11 | 11 September 2014 Way forward
Hinweis der Redaktion
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- 14 September 2014
- 14 September 2014
- We set clear parameters at the starting point of the process in developing this programme budget: The starting point for the development of the programme budget 2016-2017 is the 12th General Programme of Work for the period 2014-2019. As this will be the second of the three biennial budgets to be formulated within the 12th GPW, it continues to pursue the achievement of the outcome and impact targets as agreed in the 12th GPW. The results chain that links the work of the Secretariat (activities, outputs) to the health and development changes to which it contributes (outcome, impacts) has been updated to reflect the situation and priorities for 2016-2017. The planning was organized to ensure continuity from the programme budget 2014-2015, building on the gains, while allowing planning to take into account the changing situations and emerging challenges that will be tackled in 2016-2017. In continuing from 2014-2015, the robust planning process was organized around the Programme Areas and Categories to reflect greater clarity of the work of the Secretariat and the results that it is achieving and contributing to. In keeping with the commitment for a stable budget, it was made clear during the process that the budget will be around US$ 4 billion.
- As an outcome of the robust process that was put in place for developing the programme budget, the PB 2016-17 reflects several key enhancements: More focused technical cooperation: In developing this programme budget, the entire organization across the three levels of the Organization was mobilized through a robust process of consultations, consolidation and reviews. The first step of the process- the bottom-up identification of needs – provided the opportunity to focus further the work of the Secretariat at the country level by identifying a focused set of priorities for technical cooperation. This has been done through consultations with Member States on the needs, and has been guided by most recent country cooperation strategies. The process has also allowed the regional office and headquarters through the programme area networks to align further their priority work with the country level priorities. Clearer reflection of roles and responsibilities The work on clarifying the roles and responsibilities of each of the levels of the Organization that started in PB 2014-2015 was further refined. This has been guided by the Overarching Roles and Functions of the three levels of the Organization that was developed by the Task Force led by RD/EMRO and RD/WPRO. Further refinements of those roles and functions, including clarity as to what work is best delivered at which level was achieved through the engagement of the three levels of the Organization through the programme area networks and category networks Better alignment of the work of each of the levels The strengthening of the engagement of Programme Area Networks and the Category Networks was key to achieving a more coherent and cohesive organization-wide plan for 2016-2017. The opportunity for all the levels to have extensive discussions, through face-to-face meetings within a programme area and category, has achieved better alignment of the work and agreement on the results to which the Organization is accountable.
- The overall direction of work will continue to be shaped by the leadership priorities defined in the 12th General Programme of Work. The PB 2016-2017 process is providing the opportunity for the Secretariat to focus its work further through identifying key emphases within each of the categories of work, while continuing its support needed in all the programme areas. Some examples of changes in programme emphasis include: further strengthening the institutional, international and country capacities for emergency preparedness, surveillance and response capacities continued focus on strengthening regulatory capacity and health systems information and evidence increased efforts to ensure all obligations under the International Health Regulations (2005) are met continue to increase investment in reproductive, maternal, newborn, child and adolescent health focusing on the unfinished agenda of the Millennium Development Goals in relation to ending preventable maternal newborn and child death intensify implementation of the comprehensive global action plan for noncommunicable diseases ensure that global action is taken to address the threat of antimicrobial resistance
- This table gives you a snap shot of the proposed programme budget that was the result of the bottom-up process. The draft proposed budget figures for 2016-2017 reflect the estimated resources required to deliver the prioritized outputs and deliverables across the three levels of the Organization. Some historical bases are shown here to help contextualize the figures and the shifts that resulted from the planning process for the biennium 2016-2017. Overall, there is an increase in the resource requirements for emergency preparedness, surveillance and response capacities and strengthening health systems regulatory capacity and information and evidence. There are also significant relative increases for ageing and health as well as mainstreaming issues related to gender, equity, human rights and social determinants of health. High investments in noncommunicable disease remain constant with increases mental health, substance abuse, violence, injuries, disabilities and rehabilitation. In order to maintain a stable budget envelope, these increases are matched by decreases in the programmes of HIV/AIDS, tuberculosis and vaccine preventable diseases. This decrease will be mitigated through a more strategic approach to maximize the existing capacity of Member States and partners in countries where such capacity is available, while the Organization will focus on upstream policy and technical work. This is especially the case in countries receiving significant investments from the global health initiatives (e.g., GAVI and Global Fund) or in countries where synergies with the polio programme can be leveraged to help deliver routine immunization.
- This table shows the breakdown of budgets across the major offices. The planning and prioritization process was based on the initial assumption of a stable overall budget envelope for each major office subject to further discussion on the strategic budget space allocation mechanism in the Executive Board, January 2015. Thus, there are no shifts noted between Major Offices. But one should note that the comparison is being made between the draft proposed 2016-2017 figures and the PB 2014-2015. As you noted in the previous slide, the shifts occurred more significantly between programme areas and categories reflecting changes in programmatic emphases as a result of the bottom-up process. The proposed shifts are a result of the bottom-up planning and prioritization process and are a continuation of the directions established for the Programme budget 2014–2015. The PB 2014-2015 takes into account the shifts that had been made in 2014 that were within the authority given by the World Health Assembly to the Director General (WHA66.2). These include US$ 14.6 million for the WHO country office of South Sudan that moved from Eastern Mediterranean Region to the African Region, US$23 million total increases for the the Eastern Mediterranean Region (US$ 21 million) and European Region (US$ 2 million) for managing protracted crises under the emergency risk and crisis management programme area that was taken from outbreak and crisis response (OCR) budget. The increase in the budget of polio that was made in 2014 is based on the agreed global polio eradication and end-game strategic plan 2013-2018.
- In summary: The budgets presented reflect the resources that have been estimated by each of the entities at the different major offices across the three levels of the Organization. This results from the bottom-up process and it reflects resources required to deliver on the work that is required at each of the Major Offices, categories and programme areas to achieve the results that have been prioritized for the biennium 2016-2017. In line with the aim of maintaining a stable budget over the period covering the 12th GPW, the draft proposed budget for 2016-2017 is US$4.171.3 billion. There are elements that have not been included in this draft proposed budget, as we try to determine more clearly their budgetary implications. These include: Budget for hosted partnerships Special time-bound multi-stakeholder projects Special pass-through arrangements Resolutions recently approved which will be taken forward in 2016-2017, e.g., anti-microbial resistance, hepatitis, strengthening regulations of medical products
- The work in developing the programme budget is not finished. We have just accomplished the first phase. Further work is needed taking into account your inputs in the Regional Committees. Work continues at country level to further refine the bottom up priorities and ensure alignment with the global outcome and impact targets. This will result in an updated set of output indicator baselines and targets for the next draft of the programme budget. This will be supported by the work of the programme areas and category networks in clarifying further the regional and global commitments, the work that are needed at each levels to meet these commitments, and the priority countries that must be engaged in order to achieve the results. In addition, cross-cutting work, such as anti-microbial resistance and gender, equity and human rights will be further elaborated through detailed planning across categories of work and programme areas. The programmatic and budgetary implications of the recent World Health Assembly resolutions will be determined and reflected in the programme budget. These include additional activities in line with recent resolutions on anti-microbial resistance, regulatory systems strengthening for medical products, hepatitis. Taking into account the overall budget guidance, budget estimates will be further developed based on detailed staff and activity resources required at each level of the Organization to deliver the agreed outputs. The draft proposed budgets may be validated against the revised strategic budget-space allocation mechanism subject to discussion in the Executive Board meeting January 2015.
- The next goal post is the update draft of the PB to be presented to the EB. The Secretariat has been continuing the work, taking on some of the aspects of the operational planning in advance to inform further the refinement of the programme budget. We will take into account the discussions, inputs and comments from the Regional Committees and we will develop further the draft for presentation to the EB in January 2015. As you will note, this is the first time that we have presented during the RCMs a full draft that is a result of rigorous process of consultations and engagement across the three levels of the Organization, and a budget that is based on a focused prioritization process at the country level. We are on track to delivering the final draft of the PB to be presented to the World Health Assembly in May 2015.